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HomeMy WebLinkAbout20110296 Ver 1_Certification of Completion_20150515NCDWQ Project No.: Z� �\ 0 Z q 6 County: F� c�`c. ��� Applicant: N cps�� � �p �� ^ � Project Name: S�c�.�.�c.i _;.j�.c�v Tc� ��y�r.�tn 5� It�03_�S�w±�-�-crs�Sl�-J`�'7—�!�``(S 1�I Date of Issuance of 401 Water Quality Certification: y 6 � 1 —.— Certi�cate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to NCDWQ by the applicant, the applicant's authorized agent, or the project engineer. [t is not necessary to send certificates from all of these. � Applicant' Certr rcation 1, �� .�pQ�i�j , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications ther s�o i materials. � «� �� Signature: Date: Agent's �Certificatio I, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construction such that the construction was,observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Engineer's Certification Partial Final Date: I, , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the Permittee hereby state that, to�the best of my abilities; due�care and diligence was used in� the observation of the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Date Registration No. _ ��l.�0 V � D MAY 1 5 2.015 DENR-WATER.RESOURCES 7RANSPORTAT{ON PERMITTING UNIT